| NPI | 1053681668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE C HINES Business Administrator 561-747-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |